Best Machine?

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Magic8Ball

Well-known member
Joined
Sep 26, 2006
Messages
562
Location
Perth, West Australia.
I've been keeping an eye on this forum for a little while as i knew i was going to need a home monitor after surgery.

A thread i read before chrismas seemed to indicate that the coagucheck XS was the best machine (but at the time it wasn't available in the US).

Is this still the general consensus?

I should be ordering mine at the end of the month but would like to hear of any downside of this model or benefit another make/model has over it.

This new XS model is small, needs no calibration and the strips don't need to be kept in the fridge...much like the new inratio.
 
The best machine.......Well it's all dependant on what you like. ITC Protime is probably the most accurate, but it requires the most blood and is often difficult to get a sample without containing air bubbles and getting error messages.

The INRatio and Coagucheck XS are much smaller, have on board controls within the strips and are still very accurate. I myself prefer the INRatio. I've had it for 3 or 4 years now and I'm very pleased with it. Minimal blood sample, test results in 2 minutes or less. No refrigeration of strips etc.
 
I think the XS gets a lot of excitement, even tho' it hasn't been used widely yet, because a lot of people liked their Coagucheck S machines and have high hopes for the XS. I don't think it's been proven yet to be the best machine. But then, what makes a best machine - the best? Accuracy doesn't necessarily make it "the best" in my opinion, if it's hard to use and get a valid test.

I had the ProTime and while it is highly reguarded as most accurate, it was pretty hard to run a test without getting an error. You have to drop a big drop of blood into a tiny little cup and pray it doesn't have an airbubble that sucks into the machine.

I love my INRatio. It requires much less blood, takes less time to test and is accurate enough for me to feel secure that I'm keeping my INR in range. My doctor uses the INRatio in her office. If she found it to be to varied from her lab results I doubt she'd continue using it.
 
We've had two of the three machines...the Protime and the Coaguchek, and hopefully soon the INRatio.....

Hated the protime.....found it to be inaccurate, used alot of blood, and often gave lots of error readings or was waaaay off in comparison to lab draws and our cardio's Coaguchek XS.

Love the Coaguchek....found it to be easier to use, travel with, less errors and in general more accurate....Alas, the strips were recalled and I have a feeling never to be issued again.

INRatio....I have no experience with, but our cardio's coumadin clinic nurse loves it. We were there yesterday and she said she finds it just as accurate as the Coaguchek XS, easier to use, no calibrations, as the strips are already done, and just as accurate. I trust Debbie, so there you go.

Evelyn
 
No experience with any machine except the INRatio but I LOVE it. It is simply easy, foolproof, small and accurate.
 
Ross said:
The best machine.......Well it's all dependent on what you like. ITC Protime is probably the most accurate, but it requires the most blood and is often difficult to get a sample without containing air bubbles and getting error messages.


Hi Ross,

Just wanted to add some comments of my personal usage with the Protime Unit.

I have had my Protime now for over 6 years. I'll admit that at first I did get error messages due to time outs or air bubbles. However, These incidents mainly occurred when I first started to use my machine. I strongly feel that these errors, at least in my case, were mostly caused from nervousness of performing the tests. "Beginner Jitters". Many things contributed to that such as, the timer to collect the sample, or worrying about not getting enough blood sample for the test, or will I get another error; These all made me nervous, and... due to that.. sometimes the machine would time out prior to collecting the sample, or due to nerves, I could not get enough blood. Funny thing is.. tha as soon as the time expired, and I relaxed... if flowed like a fountain! hmmmm.... did I say "relax". There were other times that I just was able to collect my sample and rushed to connect the sample to the unit... Result.... Air Bubble Error code. All of these instances of "Error Messages" I say was due to Beginner Jitters.

Once I got over the panic of home testing, I didn't get the Beginner Jitters any more, and everything went smoothly. Collecting enough blood for the sample, became a non-issue once my nerves were settled down. I know we say the test requires a lot of blood.. but let's face it.. 4 to 5 large droplets of blood for the sample is really all we are talking about. My finger sticks can easily generate that these days without a problem. There are testing units that due require less, but all in all... it's not really a lot of blood for the sample.

I rarely get an error message these days, have no issues with the amount of blood I need for the sampling, and found that after I fill the vile with the required amount to run the test, a slight tapping of the vile/cuvette blood sample on the counter until a small drop comes out the bottom, prevents / eliminates the possible air bubble error message.

The only error messages I get these days is caused due to a "Low Battery Level", which is caused if I run the machine by battery only, and I allow it to get too low before recharging. I usually get 5 or 6 tests prior to it needing a recharge.

Anyway... I just wanted to let everyone know, that there are people using the Protime Unit, and the problems you described are not regular common occurrence that happen on a routine basis.

btw... I had my unit checked against the hospital lab results 4 weeks ago, and the 2 tests were within 0.3 of each other. Not bad for a unit that is now going into it's 7th year of usage with me! I test weekly and take it overseas with me on a regular basis.

Information is knowledge... hope this helps.. or further confuses those making home testing unit selections. There are some very good units on the market, all of which have pluses and minuses.

Rob
 
Thanks Rob.

When I tried the ITC Protime, I must have been very nervous. I had air bubble errors in all 6 cuvettes that I tried with. Guess that disgruntled me quite a bit.
 
I have had my ProTime unit for just over 4 years. I do not think I have "beginners jitters" anymore. However, I DO have problems with error messages on a regular basis with my unit. As a matter of fact, I think I got fewer error messages when I first got my machine than I do now. I think it may depend on the individual unit. Mine won't hold a charge anymore and is picky as anything when it comes to air bubbles (and yes, I do the tapping on the counter trick as well). I've become very frustrated with my ProTime and have to admit to not testing as often as I probably should simply because I hate to use it. I'm seriously considering contacting my insurance and seeing if I can get an INRatio to replace it.

That's just my experience, of course. Your milage may vary.
 
Gnusgal said:
That's just my experience, of course. Your milage may vary.

Hi Gnusgal, Yeppers. Those older models must get better gas milage! I think I'll hold onto my Antique a few more years. :)
 
I have nothing to compare it too since it's my first one but I love the INRatio. It's quick and easy.
 
We have been using CoaguChek XS for about 6 months and been very happy. It is so easy to use and requires such a small drop of blood (not that other machines are much harder to use or require much more blood).

Before getting XS, I did lots of reading on vr.com as well as different manufacturers' web sites.
I seemed ProTime was the most accurate but my wife did not like the cut made by Tenderlette (the nurse who came to our house after the surgery used ProTime to test her INR)
CoaguChek S seemed like the most liked model and close to ProTime in accuracy.
Of about 20 tests we did with XS against our local lab, the differences have been small (0.3 to 0.0)

Only thing is that XS is not widely used yet (at least by Vr.com members because it has not been approved in US until now).
We will have to see if others will have the same experience after more members had a chance using them.
Hope this helps.

EJ
 
EJ - just curious - how did you get your XS since it's just been approved in the US. I'm assuming you purchased it from another country? I know it's been available in the UK for a while.
 
Same as Robthatsme

Same as Robthatsme

My Protime will be age 5 this June...NEVER a problem.. It has sat on top of my desk in den the entire time with the charger..:D ..When I go to test..It will show the amount of battery..Always there..sometimes, maybe twice a year..I have to charge it...and it charges quickly..:) ....I turn it on..warming..for 2 minutes..during that time I have my fingers over hot water...Dry them..and when it beeps for testing..I incite my finger and blood pours...only takes 2 drops........:) and then I test....always .no problems..:) ......Secret..keep your finger warm for 2 minutes.Blood will flow.....sometimes..so much that I have to put a bandage on it.:D ..for a few minutes...I love My Protime..It has kelp on ticking like my valve for now 5 years.:D ..........Always a good range.Bonnie
 
Granbonny said:
My Protime will be age 5 this June...NEVER a problem.. It has sat on top of my desk in den the entire time with the charger..:D ..When I go to test..It will show the amount of battery..Always there..sometimes, maybe twice a year..I have to charge it...and it charges quickly..:) ....I turn it on..warming..for 2 minutes..during that time I have my fingers over hot water...Dry them..and when it beeps for testing..I incite my finger and blood pours...only takes 2 drops........:) and then I test....always .no problems..:) ......Secret..keep your finger warm for 2 minutes.Blood will flow.....sometimes..so much that I have to put a bandage on it.:D ..for a few minutes...I love My Protime..It has kelp on ticking like my valve for now 5 years.:D ..........Always a good range.Bonnie
I don't have a problem with GETTING the blood. I just seem to have bubbly blood, I guess. Or there's a malfunction with my machine. (I run my finger under warm water too.)
 
Niki don't let Bon fool yeah, it's all that George Dickel that her and her man put away. Keeps here blood stiff as an arrow.
 
Okay Niki - can you top this??? My record # of blown tests in one testing session due to air-bubble errors - 4! :D

I must have bubbly blood too.

I've had one error message in approx 45 tests with my INRatio and that was due to a defective strip that didn't pull blood up into one of the channels. I come close to giving my INRatio a little kiss before putting it back in it's case - I love it so much.:eek:

So Ross, are you saying that Bon's fool-proof testing involves a good stiff drink prior to running the test? If I'd only known!
 
I think for awhile I was getting an error every other test. I started routinely taking out two cuvettes from the fridge every time because I knew the first one wasn't going to work. :rolleyes: But you're right. I've never had 4 errors in a row. You beat me there. ;)
 

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